What data should be collected to determine progress across the implementation bridge?
Several evidence-based constructs have been introduced for thinking about and developing implementation milestones. Applying these milestones to an intervention involves (1) identifying core components; (2) projecting a timeline of the likely rate of movement across the Levels of Use; (3) anticipating the Stages of Concern and what might cause resistance; and (4) identifying TTA that will promote the use of critical components, address concerns as they arise, and support movement toward optimal implementation. All of these actions and steps can be aligned along a timeline. (Details in brief, pages 8-9.)What would an implementation monitoring plan look like?
Creating an implementation monitoring plan could involve tracking specific activities anticipated during each stage of implementation. Researchers involved in this work collected information about a number of implementation activities associated with each phase, the amount of time associated with completing each implementation stage, and the percentage of activities completed. (Sample implementation monitoring activities in brief, pages 9-11.)How much time does it take?
The amount of time it takes to progress across the Implementation Bridge can vary greatly. The time it takes to achieve implementation success is based on a number of factors, including (a) the initial readiness of an organization or setting, (b) intervention complexity, (c) how new or different the intervention is from existing practices, (d) the resistance expressed by different stakeholders and sources of that resistance along the way, and (e) how valuable or beneficial people consider the intervention will be once it is being implemented. (More information in brief, page 12.)